Anaesthesia and Intensive Care For Burn Patients (RAR_082)
About Study Course
Objective
To provide the medical resident with the development and improvement of theoretical knowledge and specific skills in the application of anaesthetic and intensive care methods in the burn clinic.
Learning outcomes
1.Medical residents are able to describe the following:
1. Anaesthetic specifics of patients with burns, choice of methods depending on the type and extent of surgical manipulation.
2. Acute burn injury, burn shock, inhalation injury, burn wound infection and septic complications, hypermetabolic state in patients with severe burn injury – clinical picture and pathophysiological mechanisms of development.
3. Algorithm of primary check, examination and initial treatment of a patient with acute burn injury. Prognosis.
4. Specifics of infusion therapy in patients with acute burn injury; subsequent infusion and transfusion therapy.
5. Specifics of intensive care of burn injury depending on surgical tactics in burn wound treatment.
6. Specifics of analgesic therapy in patients with acute burn injury, subsequent analgesia; prevention of opiate and benzodiazepine withdrawal syndrome.
7. Specifics of prevention, diagnosis and treatment of septic complications in patients with burn injury. Burn sepsis.
8. Specifics of enteral and parenteral nutrition in patients with burn injury.
1.Medical residents:
1. Are able to provide anaesthesia for burn patients for the following surgical manipulations:
a. treatment and dressing of extensive burn wounds,
b. necrectomy of burn wounds,
c. necrotomy of a circular burn,
d. autodermoplasty of burn wounds.
2. Are able to perform central venous catheterisation in burn patients using different approaches determined by the localisation of burn wounds – v. jugularis, v. subclavia (sub- and supraclavicular approach), v. femoralis.
3. Are able to provide direct arterial and venous pressure monitoring in burn patients.
4. Are able to provide artificial lung ventilation to burn patients.
5. Are able to provide continuous haemodialysis and haemofiltration to burn patients.
6. Are able to provide anaesthesia for burn patients to ensure surgical manipulations and operations.
7. Are able to provide therapeutic and diagnostic manipulations to patients with burn injury.
1.At the end of the study course, the medical resident will be able to make clinically sound decisions and take effective action in providing anaesthesia and intensive care to burn patients.
